Hepatology - surgery Flashcards
What are the different liver biopsy techniques?
Crushing/haemostat technique
Guillotine technique
Punch biopsy
What are the indications for liver lobectomy?
Biopsy/removal of mass lesion - cystadenoma, hepatocellular carcinoma
Abscess
Liver lobe torsion
What are the different methods of liver lobectomy?
Finger fracture - break down soft tissue, ligate vessels
Linear stapler
Overlapping mattress suture
Which lobe is most difficult to do complete lobectomy?
Right and central - close to vena cava
What are the indications for biliary tract surgery?
Cholelithiasis
Gall bladder mucocoele
Pancreatitis
Neoplasia
What are the surgical strategies of biliary tract surgery?
CHolecystectomy- remove gal bladder, common bile duct must be patent
Cholecystoenterostomy - anastomosis of gal bladder to intestine (very tricky)
COmmon bile duct stent
What is the prognosis of extrahepatic biliary tract surgery?
Significant mortality
Often systemically unwell, require intensive post op care
